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NPI Code Detail

MEDICARE: FUNMILAYO AKINJAGUNLA FNP

MEDICARE: FUNMILAYO AKINJAGUNLA FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner1169898TX
2163W00000XRegistered Nurse974515TX

General Provider Information

NPI Number : 1609422567
Entity Type Code : Individual
Provider Name (Legal Business Name) : FUNMILAYO AKINJAGUNLA FNP
Provider Business Mailing Address
First Line : PO BOX 74008272
Second Line :
City : CHICAGO
State : IL
Zip : 60674-8272
Country : US
Telephone Number : 702-899-0595
Fax Number :
Provider Business Practice Location Address
First Line : 3301 VIEW ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76103-2425
Country : US
Telephone Number : 872-899-0595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 12/16/2025

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Directions to “ FUNMILAYO AKINJAGUNLA FNP” Practice Location

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